Organization
SOUTHERN VEIN CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARNET ROY CRADDOCK JR. MD (OWNER)
(770) 683-8346
Entity
Organization
Contact information
Practice address
2959 SHARPSBURG MCCULLUM RD, NEWNAN, GA 30265-2297
(770) 683-8346
(770) 916-7642
Mailing address
2959 SHARPSBURG MCCULLUM RD, NEWNAN, GA 30265-2297
(770) 683-8346
(770) 916-7642
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
03/26/2021
Last updated
03/26/2021
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